Provider Demographics
NPI:1366044364
Name:ENTRUST HOSPICE OF SAN ANTONIO, LLC.
Entity Type:Organization
Organization Name:ENTRUST HOSPICE OF SAN ANTONIO, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-444-9159
Mailing Address - Street 1:3201 CHERRY RIDGE DR STE C317
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4802
Mailing Address - Country:US
Mailing Address - Phone:210-444-9159
Mailing Address - Fax:210-444-9176
Practice Address - Street 1:3201 CHERRY RIDGE DR STE C317
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4802
Practice Address - Country:US
Practice Address - Phone:210-444-9159
Practice Address - Fax:210-444-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based